Poor Sleep Quality and Other Risk Factors for Unemployment Among Patients on Opioid Agonist Treatment.

Autor: Huffman M; University of Maryland School of Medicine, Baltimore, MD, USA., Cloeren M; Division of Occupational and Environmental Medicine, Department of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA., Ware OD; Johns Hopkins University School of Medicine, Baltimore, MD, USA., Frey JJ; University of Maryland School of Social Work, Baltimore, MD, USA., Greenblatt AD; Departments of Psychiatry and Family & Community Medicine, University of Maryland School of Medicine, Baltimore, MD, USA., Mosby A; University of Maryland School of Social Work, Baltimore, MD, USA., Oliver M; Division of Occupational and Environmental Medicine, Department of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA., Imboden R; University of Maryland School of Social Work, Baltimore, MD, USA., Bazell A; University of Maryland School of Social Work, Baltimore, MD, USA., Clement J; University of Maryland School of Medicine, Baltimore, MD, USA., Diaz-Abad M; Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.
Jazyk: angličtina
Zdroj: Substance abuse : research and treatment [Subst Abuse] 2022 May 21; Vol. 16, pp. 11782218221098418. Date of Electronic Publication: 2022 May 21 (Print Publication: 2022).
DOI: 10.1177/11782218221098418
Abstrakt: Purpose: Patients with opioid use disorder (OUD) face high rates of unemployment, putting them at higher risk of treatment nonadherence and poor outcomes, including overdose death. The objective of this study was to investigate sleep quality and its association with other biopsychosocial risk factors for unemployment in patients receiving opioid agonist treatment (OAT) for OUD.
Methods: Using a cross-sectional survey design, participants from 3 OAT programs for OUD completed questionnaires to measure sleep quality (Pittsburgh Sleep Quality Index [PSQI]); pain disability; catastrophic thinking; injustice experience; quality of life; and self-assessed disability. Spearman's rank correlation was used to test for associations between sleep quality and other study variables.
Results: Thirty-eight participants completed the study, with mean age 45.6 ± 10.9 years, 27 (71.1%) males, and 16 (42.1%) reporting a high school diploma/equivalent certification as the highest level of academic attainment. Poor sleep quality (defined as PSQI > 5) was identified in 29 participants (76.3%) and was positively correlated with pain disability ( r  = 0.657, P  < .01), self-assessed disability ( r  = 0.640, P  < .001), symptom catastrophizing ( r  = 0.499, P  < .001), and injustice experience ( r  = 0.642, P  < .001), and negatively correlated with quality of life ( r  = -0.623, P  < .001).
Conclusions: There was a high prevalence of poor sleep quality in patients with OUD on OAT and this was associated with multiple known risk factors for unemployment. These findings warrant the consideration of regular screening for sleep problems and the inclusion of sleep-related interventions to improve sleep quality, decrease the unemployment rate, and enhance the recovery process for individuals with OUD undergoing OAT.
Competing Interests: Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
(© The Author(s) 2022.)
Databáze: MEDLINE
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